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Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 434416779
Report Date: 08/14/2023
Date Signed: 08/14/2023 04:20:09 PM

Document Has Been Signed on 08/14/2023 04:20 PM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 2580 N FIRST STREET, STE. 300
SAN JOSE, CA 95131
FACILITY NAME:ZUNIGA, ALMAFACILITY NUMBER:
434416779
ADMINISTRATOR:ALMA ZUNIGAFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(626) 343-8851
CITY:CUPERTINOSTATE: CAZIP CODE:
95014
CAPACITY: 14TOTAL ENROLLED CHILDREN: 9CENSUS: 8DATE:
08/14/2023
TYPE OF VISIT:POCUNANNOUNCEDTIME BEGAN:
03:02 PM
MET WITH:Alma ZunigaTIME COMPLETED:
04:30 PM
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Licensing Program Analyst (LPA) Marilou Monico conducted a Plan of Correction Inspection. Licensee was cited on August 9, 2023 under Staffing Ratio and Capacity. LPA observed two (2) adult helpers and eight (8) daycare children including four (4) infants and four (4) preschool age present in the home. Licensee, Alma Zuniga, arrived during the visit and met with analyst. LPA observed that all parents/authorized representatives of enrolled children signed the Acknowledgement of Receipt of Licensing Report (LIC 9224).

As a result of this inspection, the deficiency under Staffing Ratio and Capacity is hereby corrected and cleared.

During the inspection, Licensee asked LPA the requirements in opening a Child Care Center. LPA discussed the requirements with Licensee.

There were no deficiencies cited.

A NOTICE OF SITE VISIT WAS GIVEN AND MUST REMAIN POSTED FOR 30 DAYS.
SUPERVISORS NAME: Joel Segura
LICENSING EVALUATOR NAME: Marilou Monico
LICENSING EVALUATOR SIGNATURE: DATE: 08/14/2023
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 08/14/2023
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
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